| Jessica Smith, FNP | |
|
1010 Highway 17 N, North Myrtle Beach, SC 29582-2806 | |
| (843) 685-0180 | |
| Not Available |
| Full Name | Jessica Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 1010 Highway 17 N, North Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215234968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4450 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conway Medical Center | Conway, SC | Hospital |
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conway Hospital Emergency Professional Services | 2163516980 | 15 |
| Entity Name | Conway Hospital Emergency Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487844510 PECOS PAC ID: 2163516980 Enrollment ID: O20070924000348 |
| Entity Name | Minuteclinic Diagnostic South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447420815 PECOS PAC ID: 8527126861 Enrollment ID: O20081015000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Smith, FNP 503 Trestle Way, Conway, SC 29526-7468 Ph: (843) 685-0180 | Jessica Smith, FNP 1010 Highway 17 N, North Myrtle Beach, SC 29582-2806 Ph: (843) 685-0180 |
Roman Koryakin, FNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3816 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-272-1411 | |
Alice Ruth Carter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1714 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-361-0705 Fax: 843-361-4045 | |
Sandra Lee Payne, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-249-1451 | |
Ms. Stacey Lynn Shaw, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2423 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-919-0700 Fax: 843-919-0727 | |
Mrs. Tisha Michelle Brown, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 866-389-2727 | |
Mrs. Barbie Suggs Anderson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1714 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-361-0705 | |
Tracey Michelle Lewis, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2021 N Myrtle Point Blvd Ste 102, North Myrtle Beach, SC 29582 Phone: 843-366-3060 Fax: 843-366-3069 |